Intra-abdominal abscess and intractable sinus - a rare late complication after splenectomy

Shrestha, Badri Man; Hampton, J

doi:10.12998/wjcc.v5.i1.14

Cited by 2 publications

(3 citation statements)

References 13 publications

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“…Significant delays, up to years, after initial surgery have been documented for suture-related pseudoinfections or other reactions for silk [ 10 – 12 ]. As a braided non-absorbable suture made of natural materials, this is not surprising.…”

Section: Discussionmentioning

confidence: 99%

“…Sinclair Research Inc., Auxvasse, MO2 Zoetis, Parsippany-Troy Hills, NJ3 AnaSed, Akorn Pharmaceuticals, Lake Forest, IL4 Isothesia, Henry Schein, Melville, NY5 Hikma Pharmaceutical, London, United Kingdom6 Ethicon Inc., Somerville, NJ7 Zoopharm, Laramie, WY8 Noorbrook Laboratories Ltd, Newry, Northern Ireland 9 Henry Schein, Melville, NY10 Putney Inc, Portland, MO11 Hospira, Lake Forest, IL12 Baytril, Bayer, Leverkusen, Germany…”

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confidence: 99%

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Significantly delayed polyglactin 910 suture-related pseudoinfection in a Yucatan pig

Collins

Simons

2020

BMC Vet Res

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Background Polyglactin 910 is a synthetic braided, absorbable suture commonly used in surgery. Though polyglactin 910 suture-related pseudoinfection is well documented in the human literature, it has not been previously reported in the veterinary literature. Case description A 3-year-old female, ovariectomized but otherwise experimentally naïve Yucatan pig was evaluated for a several week history of bilateral multifocal abscesses in the area of the paralumbar fossa, which continued to worsen despite oral antibiotics and non-steroidal anti-inflammatory medications. The multi-focal abscesses continued to worsen and additional diagnostics were pursued including cytology, culture (aerobic, anaerobic and fungal), and bloodwork. All supported a non-infectious etiology. Biopsy results indicated a suture-related pseudoinfection. Despite treatment including parenteral antibiotics, pain medications and superficial surgical debridement, the dermatologic lesions worsened. Euthanasia was elected. Post-mortem necropsy demonstrated a suture-related pseudoinfection with extrusion of suture material from the ovarian pedicle ligatures through the body wall and skin leading to numerous sterile abscesses in the bilateral paralumbar fossa. Conclusions This is the first published report of a significantly delayed polyglactin 910 suture-related pseudoinfection in a Yucatan pig. While likely an isolated incident, it supports further research into this area. Additionally for critical research studies using Yucatan pigs, pre-surgical assessment with hypersensitivity patch testing may be appropriate.

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Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

Significantly delayed polyglactin 910 suture-related pseudoinfection in a Yucatan pig

Collins

Simons

2020

BMC Vet Res

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“…Clinical suspicion becomes relevant in patients with persistent drainage, even under antibiotic therapy and percutaneous drainage. However, it is imperative to consider other differential diagnoses, such as tuberculosis and malignancies [ 10 ].…”

Section: Discussionmentioning

confidence: 99%

Abdominal Wall Sinus and Recurrent Abscess Formation Due to a Foreign Body Following Surgical Intervention

Araujo Sabino,

Cavassin,

Santos

et al. 2023

Cureus

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The sinus tract, a tubular structure with no outlet connecting deep tissues to the skin, is a rare entity, especially in patients undergoing abdominal surgeries. The pathophysiology involves factors such as liquefaction of adipose tissue, infection, and retention of foreign bodies. Inadequate surgical drainage can lead to chronicity, culminating in the formation of an infectious sinus in the abdominal wall, clinically known as a sinus. Understanding this phenomenon is crucial to avoid recurrences and complications. A 65-year-old female patient with a history of multiple abdominal surgeries presented with pain and suprapubic discharge. Similar episodes had occurred previously. Examinations revealed a fistulous tract in the right iliac fossa. The surgical intervention included the excision of the tract, identification of points with cotton thread, and antibiotic therapy. Follow-up in the outpatient setting showed no recurrences. The presence of postoperative foreign bodies, such as sutures, can trigger recurrent local infections. Diagnosis involves imaging studies, and the type of surgical thread influences complications. Treatment aims at drainage and excision of the tract. A multidisciplinary approach is of paramount importance. The sinus, with its insidious formation, highlights the complexity of this condition. Careful selection of surgical materials, precise imaging diagnosis, and a multidisciplinary approach are essential for effective treatment. This case emphasizes the importance of clinical practice to enhance clinical outcomes and the quality of life of patients affected by this challenging condition.

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Intra-abdominal abscess and intractable sinus - a rare late complication after splenectomy

Cited by 2 publications

References 13 publications

Significantly delayed polyglactin 910 suture-related pseudoinfection in a Yucatan pig

Significantly delayed polyglactin 910 suture-related pseudoinfection in a Yucatan pig

Abdominal Wall Sinus and Recurrent Abscess Formation Due to a Foreign Body Following Surgical Intervention

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